51D2177104 CLIA NUMBER - LOGAN COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY

Laboratory Demographics

  • CLIA Code: 51D2177104
  • Facility Name: LOGAN COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
  • Facility Address: 511 DINGESS STREET
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 752-0917
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. WILLIAM WEESE JR
  • NPI Number: 1861577991
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2177104
LAB Type Ambulance
Facility Name LOGAN COUNTY EMERGENCY AMBULANCE SERVICE AUTHORITY
Street 511 DINGESS STREET
City LOGAN
State WV
ZIP 25601
Phone 304 752-0917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Ambulance
Lab Director MR. WILLIAM WEESE JR

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This page was last updated on: 9/29/2025